Endoscopic-Assisted Infraclavicular Approach for Hypoplastic First Rib Resection in Thoracic Outlet Syndrome: A Case Report

Masato Fumoto; Taku Suzuki; Yasuhiro Kiyota; Noboru Matsumura; Takuji Iwamoto; Masaya Nakamura

doi:10.2106/JBJS.CC.24.00108

Endoscopic-Assisted Infraclavicular Approach for Hypoplastic First Rib Resection in Thoracic Outlet Syndrome: A Case Report

Masato Fumoto, Taku Suzuki, Yasuhiro Kiyota, Noboru Matsumura, Takuji Iwamoto, Masaya Nakamura

Department of Orthopaedics

Research output: Contribution to journal › Article › peer-review

Abstract

Case:A 25-year-old man presented with neck and upper-limb pain. He underwent surgery for the resection of a left hypoplastic first rib, which was causing thoracic outlet syndrome. The subclavian vein was retracted through an infraclavicular incision, and an endoscope was inserted dorsally to the vein. With the assistance of endoscopy, the first rib was partially resected, and scalene muscles were released from the rib. The preoperative symptoms improved after surgery without any complications.Conclusion:The endoscopic-assisted infraclavicular approach enabled sufficient resection of the hypoplastic first rib, leading to satisfactory outcomes. This method can be considered as an option for resecting a hypoplastic first rib.

Original language	English
Article number	e24.00108
Journal	JBJS case connector
Volume	14
Issue number	4
DOIs	https://doi.org/10.2106/JBJS.CC.24.00108
Publication status	Published - 2024 Dec 5

Keywords

cervical rib
endoscopic-assisted infraclavicular approach
first rib
hypoplastic first rib
infraclavicular approach
thoracic outlet syndrome

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.CC.24.00108

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title = "Endoscopic-Assisted Infraclavicular Approach for Hypoplastic First Rib Resection in Thoracic Outlet Syndrome: A Case Report",

abstract = "Case:A 25-year-old man presented with neck and upper-limb pain. He underwent surgery for the resection of a left hypoplastic first rib, which was causing thoracic outlet syndrome. The subclavian vein was retracted through an infraclavicular incision, and an endoscope was inserted dorsally to the vein. With the assistance of endoscopy, the first rib was partially resected, and scalene muscles were released from the rib. The preoperative symptoms improved after surgery without any complications.Conclusion:The endoscopic-assisted infraclavicular approach enabled sufficient resection of the hypoplastic first rib, leading to satisfactory outcomes. This method can be considered as an option for resecting a hypoplastic first rib.",

keywords = "cervical rib, endoscopic-assisted infraclavicular approach, first rib, hypoplastic first rib, infraclavicular approach, thoracic outlet syndrome",

author = "Masato Fumoto and Taku Suzuki and Yasuhiro Kiyota and Noboru Matsumura and Takuji Iwamoto and Masaya Nakamura",

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T2 - A Case Report

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AU - Suzuki, Taku

AU - Kiyota, Yasuhiro

AU - Matsumura, Noboru

AU - Iwamoto, Takuji

AU - Nakamura, Masaya

PY - 2024/12/5

Y1 - 2024/12/5

N2 - Case:A 25-year-old man presented with neck and upper-limb pain. He underwent surgery for the resection of a left hypoplastic first rib, which was causing thoracic outlet syndrome. The subclavian vein was retracted through an infraclavicular incision, and an endoscope was inserted dorsally to the vein. With the assistance of endoscopy, the first rib was partially resected, and scalene muscles were released from the rib. The preoperative symptoms improved after surgery without any complications.Conclusion:The endoscopic-assisted infraclavicular approach enabled sufficient resection of the hypoplastic first rib, leading to satisfactory outcomes. This method can be considered as an option for resecting a hypoplastic first rib.

AB - Case:A 25-year-old man presented with neck and upper-limb pain. He underwent surgery for the resection of a left hypoplastic first rib, which was causing thoracic outlet syndrome. The subclavian vein was retracted through an infraclavicular incision, and an endoscope was inserted dorsally to the vein. With the assistance of endoscopy, the first rib was partially resected, and scalene muscles were released from the rib. The preoperative symptoms improved after surgery without any complications.Conclusion:The endoscopic-assisted infraclavicular approach enabled sufficient resection of the hypoplastic first rib, leading to satisfactory outcomes. This method can be considered as an option for resecting a hypoplastic first rib.

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KW - endoscopic-assisted infraclavicular approach

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KW - hypoplastic first rib

KW - infraclavicular approach

KW - thoracic outlet syndrome

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Endoscopic-Assisted Infraclavicular Approach for Hypoplastic First Rib Resection in Thoracic Outlet Syndrome: A Case Report

Abstract

Keywords

ASJC Scopus subject areas

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